Sam Dylan Finch

What could trigger an episode? My life was perfect now. I took my meds (most of the time, anyway). I was a mental health advocate for a living, for crying out loud; I knew what I was doing. Besides, it had been so long since I’d experienced a real episode — I was practically cured. I couldn’t even remember what it felt like to hit rock bottom, and really, was it ever THAT bad?

Dating while trans is scary, especially when you’re starting to “pass.” What are his expectations for my body, if any, and what if I’m not what he had in mind and he rejects me outright?

One thing I’ve noticed about mental illness is that it’s a mess of contradictions. It tells us one thing, urges us to do another. We have one desire, but then act totally to the contrary because… reasons.

For years, I didn’t know I was hearing voices. When it started to happen, it felt like someone else’s thoughts were being inserted into my mind, shouting at me, undermining my reality — impossible to control.

You can swear up and down that you meant it some other way, but the reality is that “crazy” and “insanity” refer to a lack of sanity, which will always circle back to and affect mentally ill people, especially when it’s used in ways that diminish or sensationalize our experiences.

A thousand Bach violin concertos swirling around my crib, imprinting those melodies on my brain, had not changed the fact that I was meant to be a cellist. And a thousand “she’s,” beginning from the moment that I was born, had not changed the fact that I had grown up to be a “he.”

You were on the back burner — I thought you were Type 2, manageable, no big deal — which goes to show just how deeply I’d slid into denial. But there’s no denial here anymore. Just statistics and medical terms floating around in my brain, reminding me that I can’t afford to forget you, that you’re too “severe” for that.

Everyone, whether they have a mental illness or not, knows what it’s like to be in total despair and have no idea what to do about it. You’re curled up in bed, you don’t want to move, and you desperately wish you knew how to make things better.

I’ve heard a lot about this magical thing called “closure.” It sounds really great. My understanding of it is that, as time goes on, this person from the past becomes so distant that you no longer feel an emotional attachment. New romances fill the void left in your heart, and eventually this person who was once so significant suddenly becomes a blip on the screen.

This is fancy talk for “holy shit, I cannot make peace with my body today or ever, because this body is telling the world I’m a woman when I’m actually not.”